| NPI | 1124274899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A15890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008018556) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-07-05 |